I have written this brief essay in response to a fund-raising effort for the cure of Alzheimer’s disease. Several of us were asked by Symbria colleague, Dr. Lori Stevic-Rust, to respond to the question, how did you become interested in the senior living industry?

The Symbria Advisory Services team is sponsoring Lori’s Walk to End Alzheimer’s®, the nation’s largest event to raise awareness and funds to fight Alzheimer’s disease. Please click on the pic above to join us in sponsoring her efforts!

What Interested Me About Senior Living?

Candidly like many people, I’m not sure it was my interest that got me started.

I was a young man with a young family and just trying to make a living. What interested me most at that time was a steady paycheck and the hopeful ability to grow into a career – whatever that meant. What caused me to stay in senior living for the past 25 years – now that I think might be worth sharing.

To me, one of the greatest advantages of being a management consultant in the senior living industry is performing site visits. Being able to travel around the country and tour different communities in different geographies; seeing the good, the bad and the regrettable. Being reminded of the work direct caregivers do every day and that mine, at best, is a supporting role backstage.

On one such occasion I found myself in New Jersey at a senior living community near to the Atlantic Ocean. It was late afternoon on a clear winter’s day, and shadows from the trees outside were inching their way across the lobby floor. I sat there admiring the beauty of a crisp, amber sky, satisfied I had completed a good day’s work. I only needed to touch base with one more staff person, and I would be on my way – back to the hotel to write up my notes and then off to explore the local area.

As I was waiting there a couple was approaching from down a long hallway toward me. They were of an age where I surmised they could be (likely were) residents of this assisted living community. Maybe they were heading out to do some exploring too. I felt happy that I had some small part in this image – part of an industry that provided a secure, caring and loving environment for this couple. That they could enjoy the fullness that life had to offer together in the twilight of their lives.

They were holding hands as they came down the hall, and as they grew closer I noticed the woman had a somewhat distant expression – a mix of forlorn and bewilderment. Her partner’s expression seemed to be one of melancholy and concern, yet stoic determination. His shoulders were a bit slouched, and I don’t know why but I did not think it owing simply to an aging posture.

There were clearly some emotional undertones here that made me quickly challenge my exploration hypothesis. Then as they neared the door it dawned on me the woman wasn’t dressed near appropriately enough to be going outside on this frigid afternoon in mid-February.

That’s because she wasn’t. And then what followed was a scene that has yet to be eclipsed in my mind by any other for its sheer heartbreaking sadness and poignancy. I can still hear their words as if they were spoken only yesterday.

“It’ll be okay, Alice . . . it’ll be okay . . . you’re going to be fine . . . I will see you tomorrow, I promise.”

The elderly gentlemen tried earnestly, with the calmest and most serene expression as tears were welling up in his eyes to explain why this was her home now. This was, “where she needed to be.” He was unable to leave without the assistance of an aide having to gently redirect his wife. I glanced over at the receptionist who, like me, had sat silently taking this all in – wondering whether she could see I was fighting back tears. Her own only made my efforts more impossible.

The separation we had witnessed was like what one might observe at a daycare or preschool between child and parent. I would guess the relative emotions might be quite similar too: fear, anger, regret, sadness. But when a parent or guardian shows up in the afternoon, the reunion is a joy to see: an emotional reversal, all secure in the knowledge the family will be reunited at home that evening.

Bill’s wife was not going home. She had Alzheimer’s disease, and though Bill had tried to care for her at home he was unable to do so without risking injury to her or himself. She was, “where she needed to be.” Quite obviously, she was not where anyone wanted her to be.

I once had a colleague who owned several assisted living properties share with me something he regularly explained to his sales staff. He would tell them, “never forget, that even on your most successful sale it is most likely your customer will not be getting what they want.” They want to stay home. Alice wanted to stay at home.

There are some five million individuals in the United States like Alice. This is a tough industry to work in when you take to heart the challenges these individuals, their families and caregivers face every day in the communities I am lucky enough to assist. And the challenges associated with Alzheimer’s disease are right up there at the top.

I could never do the work of the caregivers that labor tirelessly to ease whatever burden they can of those afflicted with Alzheimer’s disease and their families. So I do what I am able: try and help ensure their working environment is as unencumbered, encouraging and helpful as it might be. If I can do that, then I feel like I am contributing what I can – and that is why I have stayed in the senior living industry for the past 25 years.